NR 324 \ NR324 ADULT HEALTH I MIDTERM EXAM
2 2025 QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. A patient with congestive heart failure is prescribed furosemide. Which
electrolyte imbalance is the patient most at risk for?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Rationale: Furosemide is a loop diuretic that causes the kidneys to excrete
potassium, putting the patient at risk for hypokalemia.
2. Which assessment finding in a patient with pneumonia indicates a need for
immediate intervention?
A. Fever of 101°F
B. Respiratory rate of 32 breaths/min
,C. Yellow-green sputum
D. Fatigue and malaise
Rationale: A respiratory rate of 32 is a sign of respiratory distress and should be
addressed immediately.
3. A patient post-thyroidectomy is experiencing tingling around the mouth and
muscle twitching. What is the most likely cause?
A. Hypokalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypermagnesemia
Rationale: Hypocalcemia is a common complication after thyroidectomy due to
potential injury to the parathyroid glands.
4. Which of the following is the best indicator of adequate tissue perfusion?
A. Skin temperature
B. Blood pressure
C. Capillary refill <2 seconds
D. Respiratory rate
Rationale: Capillary refill <2 seconds is a direct assessment of peripheral
perfusion.
,5. A nurse is caring for a patient with COPD. Which oxygen delivery system is
most appropriate for long-term use at home?
A. Non-rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask
Rationale: A nasal cannula is suitable for long-term, low-flow oxygen therapy in
COPD patients.
6. What is the priority nursing action for a patient with potassium level of 2.8
mEq/L?
A. Place the patient on a cardiac monitor
B. Encourage fluid intake
C. Administer furosemide
D. Apply oxygen via nasal cannula
Rationale: Hypokalemia can cause cardiac arrhythmias; cardiac monitoring is a
priority.
7. Which lab result is most concerning in a patient receiving digoxin?
A. Sodium 138 mEq/L
B. Calcium 9.4 mg/dL
C. Potassium 3.0 mEq/L
D. Hemoglobin 13.1 g/dL
, Rationale: Low potassium increases the risk of digoxin toxicity.
8. A postoperative patient has not voided in 6 hours. What is the nurse's first
action?
A. Insert a Foley catheter
B. Assess for bladder distention
C. Increase IV fluids
D. Call the surgeon
Rationale: Bladder assessment should be done before other interventions.
9. Which symptom indicates left-sided heart failure?
A. Peripheral edema
B. Jugular vein distension
C. Pulmonary crackles
D. Hepatomegaly
Rationale: Crackles are heard in the lungs due to pulmonary congestion in left-
sided heart failure.
10. What is the best position to promote oxygenation in a patient with left
lower lobe pneumonia?
A. Supine
B. Prone
2 2025 QUESTIONS AND ANSWERS PLUS
RATIONALES| GUARANTEED PASS | LATEST
UPDATE | CHAMBERLAIN UNIVERSITY
1. A patient with congestive heart failure is prescribed furosemide. Which
electrolyte imbalance is the patient most at risk for?
A. Hypernatremia
B. Hypokalemia
C. Hypercalcemia
D. Hypermagnesemia
Rationale: Furosemide is a loop diuretic that causes the kidneys to excrete
potassium, putting the patient at risk for hypokalemia.
2. Which assessment finding in a patient with pneumonia indicates a need for
immediate intervention?
A. Fever of 101°F
B. Respiratory rate of 32 breaths/min
,C. Yellow-green sputum
D. Fatigue and malaise
Rationale: A respiratory rate of 32 is a sign of respiratory distress and should be
addressed immediately.
3. A patient post-thyroidectomy is experiencing tingling around the mouth and
muscle twitching. What is the most likely cause?
A. Hypokalemia
B. Hypocalcemia
C. Hypernatremia
D. Hypermagnesemia
Rationale: Hypocalcemia is a common complication after thyroidectomy due to
potential injury to the parathyroid glands.
4. Which of the following is the best indicator of adequate tissue perfusion?
A. Skin temperature
B. Blood pressure
C. Capillary refill <2 seconds
D. Respiratory rate
Rationale: Capillary refill <2 seconds is a direct assessment of peripheral
perfusion.
,5. A nurse is caring for a patient with COPD. Which oxygen delivery system is
most appropriate for long-term use at home?
A. Non-rebreather mask
B. Venturi mask
C. Nasal cannula
D. Simple face mask
Rationale: A nasal cannula is suitable for long-term, low-flow oxygen therapy in
COPD patients.
6. What is the priority nursing action for a patient with potassium level of 2.8
mEq/L?
A. Place the patient on a cardiac monitor
B. Encourage fluid intake
C. Administer furosemide
D. Apply oxygen via nasal cannula
Rationale: Hypokalemia can cause cardiac arrhythmias; cardiac monitoring is a
priority.
7. Which lab result is most concerning in a patient receiving digoxin?
A. Sodium 138 mEq/L
B. Calcium 9.4 mg/dL
C. Potassium 3.0 mEq/L
D. Hemoglobin 13.1 g/dL
, Rationale: Low potassium increases the risk of digoxin toxicity.
8. A postoperative patient has not voided in 6 hours. What is the nurse's first
action?
A. Insert a Foley catheter
B. Assess for bladder distention
C. Increase IV fluids
D. Call the surgeon
Rationale: Bladder assessment should be done before other interventions.
9. Which symptom indicates left-sided heart failure?
A. Peripheral edema
B. Jugular vein distension
C. Pulmonary crackles
D. Hepatomegaly
Rationale: Crackles are heard in the lungs due to pulmonary congestion in left-
sided heart failure.
10. What is the best position to promote oxygenation in a patient with left
lower lobe pneumonia?
A. Supine
B. Prone
